1819 WALNUT ST 2022-01-13 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# hit) `P1 I I-O.o 1 BUILDING PLANNING Intake OK by: Date: 11/$/19 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ttach to Project No. 0 w i 61 -00 7 LEI Route to Residential Building Route to Historic Reviewer Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 415 S,M ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size -e' Zone -Z Number of Stories [ Overlay/Agreement Basement Lallo ❑Yes , Fin/ apt Nonresidential Use Type of Construction -t.13 Residential Use 1,[t.¢J 52-5 Occupancy Group a. Proposed No.of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: '� Fire Sprinklers: CI Update Existing CI New System Mot Req'd Planning/Landscape Inspection Required befor Final? ❑Yes` No Reason Sprinklers Required: "In Lieu"Fee:Type: A ount$ Fire Alarm: ❑Update Existing CI New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cr It: RCW 64.55 MF worksheet req'd for permit? ❑Yes R No ❑Everett School Dist ❑Muki o School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 12No Additional Notes: VALUATION CALCULATION: Total$ 3t t3`jS 1S 7I 2Q Yes 56. e 30 16 6 a _ Approved By: 4-. Date: 'i -%-'1 In a ZS 2 5° PUBLIC WORKS Intake OK by: m t.% Date: 1 1 j I l 4 Additional Notes: 2 6 lc MC. !P, i SEC Intake Comments: PW Worksheet Needed if: New •oe.c.s- AN s-ro MK 14 1313 i rL.'D r 6.1 fn frov,r,Vp.4ys Dev Eall ❑Traffic Mit Eval a.. 5 4 sr > w H _❑Site Work or Drainage Proposed Approved By: Date: I lit q J I i S(ALF/4441 I❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENToute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred Additional Notes: his Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K, (Afl Date: // - % 1 ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B Z 6 i1 Date: rl ' ba